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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   NOVEMBER 2014 , Volume 17 , Number 11; Page(s) 786 To 788.
 
Paper: 

MASSIVE HEMOPTYSIS, A PRESENTATION OF INVASION OF ANEURYSM OF DESCENDING AORTA TO BRONCHOPULMONARY TREE

 
DOI: 

0141711/AIM.0015

 
Author(s):  AHMADI ZARGHAM HOSSEIN*, ANSARI AVAL ZAHRA, SAGHEBI SEYED REZA, KIANFAR AMIRABBAS, HASHEMIAN SEYED MOHAMMADREZA, KAHKOUEE SHAHRAM, ROOZDAR SEPEHR, NADERI HADI
 
* LUNG TRANSPLANTATION RESEARCH CENTER, NATIONAL RESEARCH OF TUBERCULOSIS AND LUNG DISEASES (NRITLD), SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Aortobronchial (AB) fistula is a rare disease, which is presented with massive hemoptysis; lethal if not treated. It should be suspected in any patient who presents with massive hemoptysis and had previous thoracic aortic surgery, but even it may be seen in patients without any history of operation on the thoracic aorta. Although, today in many centers endovascular therapy is done for these patients, but it is not the standard approach. Surgery in urgent situations has an essential role in saving the patients. Operative management consists of double lumen intubation and one lung ventilation, followed by femoral artery and vein cannulation posterolateral thoracotomy and achieving proximal and distal control on the aorta, applying cardiopulmonary bypass (CPB), separation the lesion, and bypass the segment of the diseased aorta by a synthetic graft.

 
Keyword(s): ANEURYSM OF THORACIC AORTA, AORTOBRONCHIAL FISTULA, CARDIOPULMONARY BYPASS, ENDOVASCULAR THERAPY, MASSIVE HEMOPTYSIS
 
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